Provider Demographics
NPI:1043389380
Name:HOWARD S SCHWARTZ MD PC
Entity Type:Organization
Organization Name:HOWARD S SCHWARTZ MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:STANLEY
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-933-3388
Mailing Address - Street 1:3201 GRAND CONCOURSE
Mailing Address - Street 2:SUITE 1-L
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468
Mailing Address - Country:US
Mailing Address - Phone:718-933-3388
Mailing Address - Fax:718-733-5123
Practice Address - Street 1:3201 GRAND CONCOURSE
Practice Address - Street 2:SUITE 1-L
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-1226
Practice Address - Country:US
Practice Address - Phone:718-933-3388
Practice Address - Fax:718-733-5123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY080105207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY177121OtherMEDICARE NSC
NY177121OtherMEDICARE PTAN
NYHS01771210OtherEMPIRE BLUE CROSS AND BLUE SHIELD
NY177121OtherMEDICARE PIN
NY177121Medicare Oscar/Certification
NY177121OtherMEDICARE PTAN